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Organization
SHAWN PHAM, DDS, PLLC.
Active
Organization
SHAWN PHAM, DDS, PLLC.
Active
Other names
Luna Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN PHAM DDS (SOLE MEMBER)
(253) 222-9269
Entity
Organization
Contact information
Practice address
10209 BRIDGEPORT WAY SW STE B10, LAKEWOOD, WA 98499-2327
(253) 222-9269
Mailing address
650 DUVALL AVE NE APT R1323, RENTON, WA 98059-4775
(253) 222-9269
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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